Information Collection

RUIA Continuing Entitlement

IC 33830 under ICR 202006-3220-002 · OMB 3220-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0025 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form UI-9 (06-13) Statement of Employment and Wages RUIA Continuing Entitlement	Form
Form UI-44 (08-14) Claim for Credit for Military Service RUIA Continuing Entitlement	Form and Instruction
Form ID-4U (05-13) Form Letter; Advising of Service and Earnings Requirements for RUIA Benefits RUIA Continuing Entitlement	Form and Instruction
Form ID-4X (05-13) RUIA Continuing Entitlement	Form and Instruction
Form ID-4X (05-13) Form Letter; Advising of Service/Earnings Requirements for Sickness Benefits RUIA Continuing Entitlement	Form and Instruction
Form UI-9 (Proposed) Statement of Employment and Wages RUIA Continuing Entitlement	Form
Form UI-44 (Proposed) Claim for Credit for Military Service RUIA Continuing Entitlement	Form and Instruction
Form ID-4U (Proposed) Form Letter, Advising of Service and Earnings Requirements for RUIA Benefits RUIA Continuing Entitlement	Form and Instruction
Form ID-4X (Proposed) Forms Letter, Advising of Service/Earnings Requirements for Sickness Benefits RUIA Continuing Entitlement	Form and Instruction
UI-9 (06-13) Statement of Employment and Wages Form UI-9 (06-13).pdf	Form
UI-9 (06-13) Statement of Employment and Wages Form UI-9 (06-13).pdf	Form
UI-44 (08-14) Claim for Credit for Military Service Form UI-44 (08-14).pdf	Form and Instruction
UI-44 (08-14) Claim for Credit for Military Service Form UI-44 (08-14).pdf	Form and Instruction
ID-4U (05-13) Form Letter; Advising of Service and Earnings Requiremen Form ID-4U (05-13).pdf	Form and Instruction
ID-4U (05-13) Form Letter; Advising of Service and Earnings Requiremen Form ID-4U (05-13).pdf	Form and Instruction
ID-4X (05-13) Form Letter; Advising of Service/Earnings Requirements f Form ID-4X (05-13).pdf	Form and Instruction
ID-4X (05-13) Form Letter; Advising of Service/Earnings Requirements f Form ID-4X (05-13).pdf	Form and Instruction
UI-9 (Proposed) Statement of Employment and Wages Form UI-9 (XX-XX) - Proposed.pdf	Form
UI-9 (Proposed) Statement of Employment and Wages Form UI-9 (XX-XX) - Proposed.pdf	Form
UI-44 (Proposed) Claim for Credit for Military Service Form UI-44 (XX-XX) - Proposed.pdf	Form and Instruction
UI-44 (Proposed) Claim for Credit for Military Service Form UI-44 (XX-XX) - Proposed.pdf	Form and Instruction
ID-4U (Proposed) Form Letter, Advising of Service and Earnings Requiremen Form ID-4U (xx-xx) - Proposed.pdf	Form and Instruction
ID-4U (Proposed) Form Letter, Advising of Service and Earnings Requiremen Form ID-4U (xx-xx) - Proposed.pdf	Form and Instruction
ID-4X (Proposed) Forms Letter, Advising of Service/Earnings Requirements Form ID-4X (xx-xx) - Proposed.pdf	Form and Instruction
ID-4X (Proposed) Forms Letter, Advising of Service/Earnings Requirements Form ID-4X (xx-xx) - Proposed.pdf	Form and Instruction
Form ID-4 (05-13).pdf Form Letter ID-4; Requesting Additional Information on Wages and Service	IC Document
Form ID-4 (05-13).pdf Form Letter ID-4; Requesting Additional Information on Wages and Service	IC Document
Form ID-4S-2 (05-13).pdf Form Letter ID-4-S-2; Advising of Service and Earnings Requirements for RUIA Benefits	IC Document
Form ID-4S-2 (05-13).pdf Form Letter ID-4-S-2; Advising of Service and Earnings Requirements for RUIA Benefits	IC Document
Form ID-4S-1 (05-13).pdf Form Letter ID-4-S-1, Advising of Service and Earnings Requirements for RUIA Benefits	IC Document
Form ID-4S-1 (05-13).pdf Form Letter ID-4-S-1, Advising of Service and Earnings Requirements for RUIA Benefits	IC Document
Form ID-32N (05-04).pdf Form Letter ID-32N; Establishing Extended Sickness Benefits and Data on Individual Service	IC Document
Form ID-32N (05-04).pdf Form Letter ID-32N; Establishing Extended Sickness Benefits and Data on Individual Service	IC Document
Form ID-19 (08-14).pdf Form Letter ID-19, Establishing Military Service Credits	IC Document
Form ID-19 (08-14).pdf Form Letter ID-19, Establishing Military Service Credits	IC Document
Form ID-4F (04-15).pdf Form Letter ID-4F, Advising of Ineligibility for Unemployment Benefits	IC Document
Form ID-4F (04-15).pdf Form Letter ID-4F, Advising of Ineligibility for Unemployment Benefits	IC Document
Form ID-4Y (04-15).pdf Form Letter ID-4Y, Advising of Ineligibility for Sickness Benefits	IC Document
Form ID-4Y (04-15).pdf Form Letter ID-4Y, Advising of Ineligibility for Sickness Benefits	IC Document
Form ID-20-1 (04-15).pdf Form Letter ID-20-1, Advising that Normal Unemployment Benefits are about to be Exhausted	IC Document
Form ID-20-1 (04-15).pdf Form Letter ID-20-1, Advising that Normal Unemployment Benefits are about to be Exhausted	IC Document
Form ID-20-2 (04-15).pdf Form Letter ID-20-2, Advising that Normal Sickness Benefits are about to be Exhausted	IC Document
Form ID-20-2 (04-15).pdf Form Letter ID-20-2, Advising that Normal Sickness Benefits are about to be Exhausted	IC Document
Form ID-20-4 (04-15).pdf Form ID-20-4, Advising that Normal Sickness Benefits are about to Exhausted/Non-Entitlement	IC Document
Form ID-20-4 (04-15).pdf Form ID-20-4, Advising that Normal Sickness Benefits are about to Exhausted/Non-Entitlement	IC Document
Form UI-23 (08-16).pdf Form UI-23, Statement of Service for Railroad Unemployment Insurance Benefits	IC Document
Form UI-23 (08-16).pdf Form UI-23, Statement of Service for Railroad Unemployment Insurance Benefits	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

RUIA Continuing Entitlement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 336 20 CFR 335 20 CFR 325

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form	UI-9 (06-13)	No	Paper Only
Form and Instruction	UI-44 (08-14)	No	Paper Only
Form and Instruction	ID-4U (05-13)	No	Paper Only
Form and Instruction	ID-4X (05-13)	No	Paper Only
Form	UI-9 (Proposed)	No	Paper Only
Form and Instruction	UI-44 (Proposed)	No	Paper Only
Form and Instruction	ID-4U (Proposed)	No	Paper Only
Form and Instruction	ID-4X (Proposed)	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records

Title: RRB-21, Railroad Unemployment and Sickness Insurance Benefit System

FR Citation: 79 FR 58874

Number of Respondents: 139

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	139	139
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Form Letter ID-4; Requesting Additional Information on Wages and Service		08/28/2013
Form Letter ID-4-S-2; Advising of Service and Earnings Requirements for RUIA Benefits		08/28/2013
Form Letter ID-4-S-1, Advising of Service and Earnings Requirements for RUIA Benefits		08/28/2013
Form Letter ID-32N; Establishing Extended Sickness Benefits and Data on Individual Service		08/28/2013
Form Letter ID-19, Establishing Military Service Credits		04/21/2017
Form Letter ID-4F, Advising of Ineligibility for Unemployment Benefits		04/21/2017
Form Letter ID-4Y, Advising of Ineligibility for Sickness Benefits		04/21/2017
Form Letter ID-20-1, Advising that Normal Unemployment Benefits are about to be Exhausted		04/21/2017
Form Letter ID-20-2, Advising that Normal Sickness Benefits are about to be Exhausted		04/21/2017
Form ID-20-4, Advising that Normal Sickness Benefits are about to Exhausted/Non-Entitlement		04/21/2017
Form UI-23, Statement of Service for Railroad Unemployment Insurance Benefits		04/21/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].